Colorado Department of Higher Education

PF2 Rev09.04.14

DIVISION OF PRIVATE OCCUPATIONAL SCHOOLS

Colorado Department of Higher Education

1560 Broadway, Suite 1600

Denver, CO 80202

STAND ALONE COURSE APPROVAL FORM (Must be typed)

School Name

School Address

(Street No. and Name) (City, State and Zip Code)

Course Title New Revised Continuing Ed

Classroom and/or Distance Education: Correspondence On-line

Proposed Date of Implementation Person Submitting Application

Maximum Number of Students per Theory Class Lab Class Course Cost $

Course Length: days/wks/mos/yrs AND, if applicable, No. of Distance Ed Lessons (NOT Hours)

Attachments - The following items properly labeled and identified MUST be attached and become part of the approval application:

1.  A complete physical inventory of equipment to be used for the course. 5. A catalog or catalog addendum reflecting curriculum

2.  A list of textbooks used which include titles, publishers, and copyright dates change(s).

3.  A list of reference materials used. 6. Required Evaluator Reports w/resumes or bios.

4. A list of teaching aids, materials and supplies used.

STATE THE OCCUPATIONAL OBJECTIVE OF THE STAND ALONE COURSE:

The objective of the is to prepare the student by providing the occupational education, training and skills for (select all that apply) an entry-level employment opportunity advanced-level employment opportunity and/or continuing education credit required for renewal of a license continuing education to enhance education in the occupation of/or related occupational areas of .

Check if applicable:

Upon successful completion the graduate will be eligible to sit for the .

Stand Alone Course Prerequisite: [List any mandatory requirement(s) for entrance into the stand-alone course, i.e. education credential, license,

coursework, or specialized training or expertise needed for entry into the course. If no prerequisite is required, please indicate “None” on the form.]

Show a comprehensive outline of the course, including a breakdown of the subjects or units of learning to be covered:
Column E: List Total No. of Lessons for EACH subject, if Course is Distance Ed A / Hrs. of Theory
B / Hrs. of Lab
C / Total Contact Hrs.
D* / (if applicable)
Semester/ Quarter
Credit Hrs.
and/or
No. of Lessons E

Subtotal

Total Lab & Theory

*(B+C=D)

Colorado Department of Higher Education, Division of Private Occupational Schools